Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1376769844 Deactivated / Inactive NPI Female Practitioner

Sally L Carlsen , SLP

Speech-Language Pathologist • Champaign, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sally Carlsen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 17, 2007
NPI Deactivation Date October 09, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Sally Carlsen, SLP was a registered Speech-Language Pathologist practicing in Champaign, IL. Throughout an active medical career spanning 18 years, Sally Carlsen provided care at the practice location at 4102 BELMONT PT until profile deactivation on 2025-10-09.

Practice Location & Contact Primary Location

Practice Address

4102 Belmont Pt

Champaign, IL 61822

Telephone 2173660033
Fax 2173660012
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Champaign, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.7 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
64 Specialists

Practicing in Champaign, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 0146005508

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Amy Jones , MS

Speech-Language Pathologist

NPI 1063748895

Master of Science

Pamela Barrow , OTR L

Occupational Therapist

NPI 1154452530

Occupational Therapist Registered & Licensed

Gretchen Gough , MSCCC SLP

Speech-Language Pathologist

NPI 1194941666

MSCCCSLP

Kimberly Weber , OTRL

Occupational Therapist

NPI 1306061833

Occupational Therapist Registered & Licensed

Tracy Cameron , OTRL

Occupational Therapist

NPI 1356567887

Occupational Therapist Registered & Licensed

Timothy Millikan , PT

Physical Therapist

NPI 1497966709

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated October 09, 2025

Record deactivated on October 09, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4102 BELMONT PT, CHAMPAIGN, IL 61822 (Tel: 2173660033)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 125, NO HENDERSON, IL 614660125 (Tel: 3094645254)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SALLY CARLSEN, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #0146005508 in IL)

🟢
Initial NPI Registration & Enumeration April 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Sally Carlsen. Be the first to share your experience!

Sign in to leave a review for Sally Carlsen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376769844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2007
Last Update: July 08, 2007
Deactivation Date: October 09, 2025

Mailing Address

Po Box 125

No Henderson, IL 614660125

Phone: 3094645254

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.